Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FLORIDA ASSOCIATION OF MEDICAL SELF INSURANCE ADMINISTRATORS, INC.

Filing Information
745986 00-0000000 02/19/1979 FL INACTIVE INVOLUNTARILY DISSOLVED 11/21/1984 NONE
Principal Address
DMINISTRATORS, INC.
19 W. FLAGLER ST.,SUITE 317
MIAMI, FL 33130
Mailing Address
DMINISTRATORS, INC.
19 W. FLAGLER ST.,SUITE 317
MIAMI, FL 33130
Registered Agent Name & Address REDLUS, BURT E. ESQ.
19 W. FLAGLER ST.
SUITE 317
MIAMI, FL 33130
Officer/Director Detail Name & Address

Title PD

SOUTHARD, WILLIAM A.
111 NW 183RD ST.
MIAMI, FL
Title VD

SHAPIRO, HAROLD
3501 JOHNSON ST.
HOLLYWOOD, FL
Title STD

REDLUS, BURT E
19 W. FLAGLER ST.
MIAMI, FL
Title D

KORMAN, DONALD G.
2101 N. ANDERWS AVE.
FORT LAUDERDALE, FL
Annual Reports
Report YearFiled Date
1981 04/10/1981
1982 02/01/1982
1983 01/11/1983

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